Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-05-15-107
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994401 DEA: 09379304 EFIS: 0919000007 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-127-21.0/34.5,41.8/49.4 |
| Award Date | 01/23/2023 |
| Closeout Date | 12/27/2023 |
| Work Description | PARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A). |
| Location Description | INYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 05/15/2023 | Sample Unique Key | 107 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/19/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Tack Coat |
| The quantity of what the sample constitutes | 1 bottle | From where was the sample collected | Source |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Vivalaqua |
| Title of sampler | Tack Truck Operator | Telephone number of sampler | |
| Laboratory sample identification | TC-16 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | CSS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| Dilution Percentage Rate | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2023-05-15-107-1 | CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified Asphalt | Brian Young, CT D09 - Bishop Field Laboratory | 05/20/2023 | 06/27/2023 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-15-107-1 CTM 330-September 2017